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Quarterly rent receipt sample

Show the three monthly amounts behind one quarterly payment. Edit locally and download PDF or Word.

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Excel download is an editable text worksheet, not an automatic payroll or tax calculator.
Live document previewA4 · 1 page
YOUR COMPANYSAMPLERent receiptQuarterly rent receipt sampleRECEIPT DETAILSProperty[full address]PeriodJuly–September 2026Received on[actual payment date]Landlord confirmation__________________PAYMENT SCHEDULEJuly rentINR 15,000August rentINR 15,000September rentINR 15,000TOTAL RECEIVEDINR 45,000Made with OpenToolSuite.com01

What each part means

Parties and property

Identify the tenant, landlord and rented property, including a complete address.

Payment record

Use the actual amount, period, date received and payment reference. A draft receipt must be confirmed by the landlord.

Employer documents

Current Form 124 guidance (earlier 12BB) asks for landlord PAN when annual rent exceeds INR 100,000. The employer may need the rental agreement and other evidence.

Check before you use it

A rent receipt alone does not establish HRA exemption or eligibility. Confirm the applicable tax regime and employer requirements.

  1. Replace every sample or bracketed field with accurate information.
  2. Check dates, amounts, identifiers and the intended recipient’s requirements.
  3. Open the exported file and obtain any required employer, landlord or legal approval.

Questions about this download

Can I edit it in Word?

Yes. DOCX contains editable text. PDF preserves the visual layout as page images; it is not an accessible text PDF or a digitally signed document.

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Official references

Income Tax Department: Form 124 (earlier Form 12BB) FAQs

Guidance checked: 29 September 2026

Prepared by Feroz Sheikh · 29 September 2026